Active NPI
Ethan Christian Hansen, MD
- Vascular & Interventional Radiology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 35.095426
- Practice address
- 395 W 12TH Ave
Columbus, OH 43210-1267 - Phone
- (614) 293-8315
- Fax
- (614) 293-6935
- NPI assigned
- May 29, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 35.095426 | OH | |
| Diagnostic Ultrasound Physician | 2085U0001X | 35.095426 | OH | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 35.095426 | OH | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 35.095426 | OH |
Addresses
Primary practice location
395 W 12TH Ave
Columbus, OH 43210-1267
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8315
Other practice location 1
3400 Spruce St
One Maloney
Philadelphia, PA 19104-4206
Phone (215) 662-3264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- New York University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
793 W State St
Columbus, OH 43222-1551
Phone (614) 234-5100
Hospital & facility affiliations
- Mount Carmel East & West
- Mount Carmel St Ann'S
- Mount Carmel New Albany Surgical Hospital
- Mount Carmel Dublin
- Diley Ridge Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.62 of 100
- Quality
- 75.91
- Improvement activities
- 40
- Cost
- 82.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.095426 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Inc | Diagnostic Radiology | Current | Accepting new patients |
| Osu Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
395 W 12th Ave
Columbus, OH 43210
Phone (614) 293-8299
395 W 12th Ave
Rm 460
Columbus, OH 43210
Phone (614) 293-8299
Dept L647
Columbus, OH 43260
793 W State St
Columbus, OH 43222
Phone (614) 234-1862
10330 Sawmill Pkwy
Ste 500
Powell, OH 43065
Phone (614) 234-0522
10567 Sawmill Pkwy
Ste 100
Powell, OH 43065
Phone (614) 717-9840
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Dublin, OH
- NPI 1609865708
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1912956814
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canal Winchester, OH
- NPI 1225361181
-
- General Acute Care Hospital
- Westerville, OH
- NPI 1417037045
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1710752183
-
- General Acute Care Hospital
- New Albany, OH
- NPI 1770668568
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1447486899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-8315",
"fax_number": "614-293-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 W 12TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101267",
"telephone_number": "614-293-8315",
"fax_number": "614-293-6935"
}
],
"practiceLocations": [
{
"address_1": "3400 Spruce St",
"address_2": "One Maloney",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044206",
"country_code": "US",
"telephone_number": "215-662-3264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "ETHAN",
"middle_name": "CHRISTIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-29",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "OH",
"license": "35.095426",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "OH",
"license": "35.095426",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "OH",
"license": "35.095426",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35.095426",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.